VATI GREEN LIGHT LATEST
COMPREHENSIVE
FORMS A,B,C EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is receiving report on four clients. Which of the following clients should
the nurse assess first?
A. A client who has an ileal conduit and mucus in the pouch
B. A client who has an arteriovenous fistula that vibrates when palpated
C. A client who had a transurethral resection of the prostate with red-tinged urine
in the bag
D. A client who has chronic kidney disease with cloudy dialysate outflow -
ANSWERS-D. A client who has chronic kidney disease with cloudy dialysate
outflow
QUESTION 2
A nurse is assessing a client who has a chest tube following a thoracotomy. Which
of the following findings requires interventions by the nurse?
A. 1 cm of water present in the water seal chamber
B. Tidaling with spontaneous respirations
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1
, VATI GREEN LIGHT LATEST
COMPREHENSIVE
FORMS A,B,C EXAM
C. Suction chamber pressure of -20 cm H20
D. Drainage collection chamber is one-third full - ANSWERS-A. 1 cm of water
present in the water seal chamber
- Should be at least 2 cm of water in the water seal chamber.
QUESTION 3
. A nurse is caring for a client who had a partial laryngectomy and is receiving
continuous enteral feedings at 65mL/hr through a gastrostomy tube. Which of the
following findings requires immediate intervention by the nurse?
A. The gastric residual volume is 250 mL following 2 hr of infusion
B. The client is lying in a supine position
C. The infusion pump for administering continuous feeding is turned off
D. The enteral feeding bag and tubing are not dated - ANSWERS-The client is
lying in a supine position
QUESTION 4
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2
, VATI GREEN LIGHT LATEST
COMPREHENSIVE
FORMS A,B,C EXAM
A nurse is performing change of shift assessments for four clients. Which of the
following findings should the nurse report to the provider first?
A. A client who has gastroenteritis and is lethargic and confused
B. A client who has cystic fibrosis, has a thick, productive cough, and reports thirst
C. A client who has sickle cell anemia and reports pain 15 minutes after receiving
oral analgesic
D. A client who has diabetes mellitus and has a morning fasting capillary glucose
of 185 mg/dL - ANSWERS-A. A client who has gastroenteritis and is lethargic and
confused
QUESTION 5
A nurse on a labor and delivery unit is assessing four newly admitted clients.
Which of the following clients should the nurse see first?
A. A client who is at 38 weeks of gestation and reports irregular uterine
contractions
B. A client who is at 39 weeks of gestation and is scheduled for a weekly nonstress
test.
C. A client who is at 40 weeks of gestation and is scheduled for an induction of
labor
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PAGE
3
, VATI GREEN LIGHT LATEST
COMPREHENSIVE
FORMS A,B,C EXAM
D. A client who is at 36 weeks of gestation and reports decreased fetal movement
for 2 days - ANSWERS-D. A client who is at 36 weeks of gestation and reports
decreased fetal movement for 2 days
QUESTION 6
A nurse is evaluating the allergy profile of a client who has Graves' disease and is
to undergo a thyroid scan. The nurse should identify which of the following
allergies as a contraindication for the client to undergo a thyroid scan?
A. Eggs
B. Latex
C. Peanuts
D. Iodine - ANSWERS-D. Iodine
QUESTION 7
A nurse is observing bonding between a client and her newborn. Which of the
following actions by the client requires the nurse to intervene?
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PAGE
4
COMPREHENSIVE
FORMS A,B,C EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is receiving report on four clients. Which of the following clients should
the nurse assess first?
A. A client who has an ileal conduit and mucus in the pouch
B. A client who has an arteriovenous fistula that vibrates when palpated
C. A client who had a transurethral resection of the prostate with red-tinged urine
in the bag
D. A client who has chronic kidney disease with cloudy dialysate outflow -
ANSWERS-D. A client who has chronic kidney disease with cloudy dialysate
outflow
QUESTION 2
A nurse is assessing a client who has a chest tube following a thoracotomy. Which
of the following findings requires interventions by the nurse?
A. 1 cm of water present in the water seal chamber
B. Tidaling with spontaneous respirations
END OF
PAGE
1
, VATI GREEN LIGHT LATEST
COMPREHENSIVE
FORMS A,B,C EXAM
C. Suction chamber pressure of -20 cm H20
D. Drainage collection chamber is one-third full - ANSWERS-A. 1 cm of water
present in the water seal chamber
- Should be at least 2 cm of water in the water seal chamber.
QUESTION 3
. A nurse is caring for a client who had a partial laryngectomy and is receiving
continuous enteral feedings at 65mL/hr through a gastrostomy tube. Which of the
following findings requires immediate intervention by the nurse?
A. The gastric residual volume is 250 mL following 2 hr of infusion
B. The client is lying in a supine position
C. The infusion pump for administering continuous feeding is turned off
D. The enteral feeding bag and tubing are not dated - ANSWERS-The client is
lying in a supine position
QUESTION 4
END OF
PAGE
2
, VATI GREEN LIGHT LATEST
COMPREHENSIVE
FORMS A,B,C EXAM
A nurse is performing change of shift assessments for four clients. Which of the
following findings should the nurse report to the provider first?
A. A client who has gastroenteritis and is lethargic and confused
B. A client who has cystic fibrosis, has a thick, productive cough, and reports thirst
C. A client who has sickle cell anemia and reports pain 15 minutes after receiving
oral analgesic
D. A client who has diabetes mellitus and has a morning fasting capillary glucose
of 185 mg/dL - ANSWERS-A. A client who has gastroenteritis and is lethargic and
confused
QUESTION 5
A nurse on a labor and delivery unit is assessing four newly admitted clients.
Which of the following clients should the nurse see first?
A. A client who is at 38 weeks of gestation and reports irregular uterine
contractions
B. A client who is at 39 weeks of gestation and is scheduled for a weekly nonstress
test.
C. A client who is at 40 weeks of gestation and is scheduled for an induction of
labor
END OF
PAGE
3
, VATI GREEN LIGHT LATEST
COMPREHENSIVE
FORMS A,B,C EXAM
D. A client who is at 36 weeks of gestation and reports decreased fetal movement
for 2 days - ANSWERS-D. A client who is at 36 weeks of gestation and reports
decreased fetal movement for 2 days
QUESTION 6
A nurse is evaluating the allergy profile of a client who has Graves' disease and is
to undergo a thyroid scan. The nurse should identify which of the following
allergies as a contraindication for the client to undergo a thyroid scan?
A. Eggs
B. Latex
C. Peanuts
D. Iodine - ANSWERS-D. Iodine
QUESTION 7
A nurse is observing bonding between a client and her newborn. Which of the
following actions by the client requires the nurse to intervene?
END OF
PAGE
4
